Bronx Zoo Family Nature Club Member Registration

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Family Nature Club (all ages): 8 Sessions
October 1st, 2023 (10/1)
November 11th, 2023 (11/5)
December 3rd, 2023 (12/3)
January 7th, 2024 (1/7)
February 2nd, 2024 (2/4)
March 3rd, 2024 (3/3)
April 7th, 2024 (4/7)
May 5th, 2024 (5/5)

Once you complete this form you will be a member of Family Nature Club. You will receive an email 1-2 weeks before each session about the theme and what to expect!

This form is required for attending a Bronx Zoo Education Family Program.
If you are NOT the parent or guardian of the child that you are filling this form for, please give this form to the legal guardian to fill out for the child.

We require the following forms to be signed prior to starting your program:
1. Liability Waiver (mandatory);
2. Photo Release

Participant Information

Complete a new form for each individual participating in this program.

Participant First Name *

Participant Last Name *

Are you a WCS member? *

Yes

Zip code *

Participant Age *

Best Contact Email for Session Information *

Caregiver Contact Information

Name of Parent or Legal Guardian 1
*

Phone Number of Parent or Legal Guardian 1
*

Name of Parent or Legal Guardian 2

Phone Number of Parent or Legal Guardian 2

Name of Emergency Contact *

Phone Number for Emergency Contact *

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